what is an arteriovenous fistula (AVF)?
(Ans-
-an artery is connected directly to a vein
-the high blood flow from the artery through the vein helps the access
grow larger and stronger, making needle insertions for dialysis easier
care of client with arteriovenous fistula
(Ans-
keep access site clean, DO NOT TAKE BLOOD PRESSURE ON THAT ARM!
no blood labs either. monitor for redness or swelling
Acute Glomerulonephritis (AGN)
(Ans-
the rapid onset of inflammation of the glomerulus of the kidney.
Acute Glomerulonephritis (AGN) s/s
(Ans-
* Gross hematuria
* Recent strep infection.
* HTN
,* Mild edema
* Positive ASO titer.
caring for acute glomerulonephritis
(Ans-
-rest
-restrict fluids as ordered to treat fluid retention
-limit sodium and protein as ordered
Medications: Administer antihypertensives, diuretics, or antibiotics as
ordered
Monitoring: Monitor vital signs, blood sugar, weight, intake and output,
and serum chemistries
azotemia
(Ans- presence of urea or other nitrogenous elements in the blood
azotemia s/s
(Ans-
Not peeing a lot.
, fatigue
confusion
Nausea and vomiting.
SOB (dyspnea)
Chest pain.
edema (legs and ankles)
Abnormal heartbeat (arrhythmia).
Lack of appetite.
azotemia vs uremia
(Ans-
azotemia = elevated BUN
uremia = very elevated BUN and renal failure
uremia s/s
(Ans- malaise, fatigue, disorientation, and drowsiness, uremic halitosis
(metallic taste)
uremia tx
(Ans-
regular dialysis, monitoring symptoms, and managing fluid and
potassium intake